Stacie Marie Knutson

Pediatric Cardiology | Female

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Complete Profile:

Stacie Marie Knutson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Stacie Marie Knutson
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Stacie Marie Knutson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2450 Riverside Ave, East Building, Room Mb560 Minneapolis, MN, 55454-1450 United States
Phone Number :	612-626-2941

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1720304439
NPI Entity Type :	Individual
First Enrolment Date :	20 Apr, 2010
Last Updated On :	27 Oct, 2016

Medicare Participation:

Stacie Marie Knutson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820394299
Medicare Enrollment ID :	I20160816003028
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2006
Accepts Medicare?	Yes. Stacie Marie Knutson accepts medicare insurance.

Group Practice Association:

Stacie Marie Knutson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stacie Marie Knutson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Fairview Express Care	3375645179	1469	717 Delaware St Se Suite 340 Minneapolis, MN - 554142959 Ph: 6126727422	Yes
University Of Minnesota Health Clinics And Surgery Center Inc	9133423304	529	909 Fulton St Se Minneapolis, MN - 554554800 Ph: 6126727422	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacie Marie Knutson are as mentioned. Primary taxonomy code for Stacie Marie Knutson is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	56178	MN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2450 Riverside Ave, East Building, Room Mb560 Minneapolis, MN, 55454-1450 United States

Business Location:

Patients can refer following map for directions to Stacie Marie Knutson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.